Although it is a distinctly different entity on a pathological level, the management of the Mullerian cyst is similar to the more commonly encountered bronchogenic and neurogenic masses in that resection is recommended due to potential for late malignant transformation.

Single cysts located in the posterior mediastinum encompass derivatives of the primitive foregut (enteric, bronchogenic, and esophageal duplication) and, occasionally, atypically located pericardial cysts.

It is currently used in 50-70% of all cancer patients showing good activity against testicular, ovarian, oropharyngeal, bronchogenic, cervical and bladder carcinomas, lymphoma, osteosarcoma, melanoma and neuroblastoma [2].

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